| NPI | 1366484891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-30013) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: KS 04-30013) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-09-03 |